Active NPI
Roy Ulysses Smith, M.S.
- Audiologist
- Novato, CA
National Provider Identifier
1083828867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 986
- Practice address
- 100 Rowland Way
Novato, CA 94945-5011 - Phone
- (415) 209-2444
- Fax
- (415) 209-2461
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 986 | CA | Primary |
Addresses
Primary practice location
100 Rowland Way
Novato, CA 94945-5011
Mailing address
100 Rowland Way
Novato, CA 94945-5011
Phone (415) 209-2444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 986 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083828867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ROWLAND WAY",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455011",
"telephone_number": "415-209-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ROWLAND WAY",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455011",
"telephone_number": "415-209-2444",
"fax_number": "415-209-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROY",
"middle_name": "ULYSSES",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU 986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.